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Fırat Tıp Dergisi
2024, Cilt 29, Sayı 4, Sayfa(lar) 215-219
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Evaluation of the Effect of Troponin and Ck-Mb on Prognosis and Mortality in Patients with Aortic Dissection in the Emergency Depart-ment
Mehmet TÜRK1, Cahfer GÜLOĞLU2, Mahmut YAMAN2, Abdullah ŞEN2
1Silvan Dr. Yusuf Azizoğlu Devlet Hastanesi, Acil Tıp, Diyarbakır, Türkiye
2Dicle Üniversitesi Tıp Fakültesi Hastanesi, Acil Tıp Anabilim Dalı, Diyarbakır, Türkiye

Objective: The diagnosis of acute aortic dissection (AAD) is of vital importance. The place where this diagnosis is made is usually the emergency services. Early and accurate diagnosis of AAD and rapid treatment are of great importance for patients. The purpose of this study is to evaluate the effects of troponin and Ck-Mb values on prognosis and mortality in patients diagnosed with ADD who applied to the Emergency Medicine Clinic of Dicle University Faculty of Medicine.

Material and Method: In the Emergency Medicine Clinic of Dicle University Faculty of Medicine, the personal information in the files of 41 patients diagnosed with AAD was kept confidential, and it was examined, whether there was a difference between the mortality rates of the existing parameters by using two ratio tests. A p <0,05 value was determined as a significant value in all parameters.

Results: Hypertension was the most important predisposing factor in 46.3% of the patients, and chest pain was the first (47.3%) complaint of the patients. Troponin and Ck-Mb values were found to be high together in eight patients (19.5%). Contrast-enhanced computed tomography (CT) was diagnosed in 92.7% of the patients. Of the 41 patients included in our study, 21 (51.2%) were grouped as DeBakey type 1, five (12.2%) as DeBakey type 2, and 15 (36.6%) as DeBakey type 3 AAD. A total of 14 (34.1%) patients were found to be death.

Conclusion: Although Ck-Mb and troponin values that we use to predict clinical outcome in AAD include nonspecific changes, they are not sufficient for diagnosis. More cases should be studied to make a conclusion on its effect on mortality. Retrospective evaluation of ADD, which is an important cause of mortality, on more cases, and studies to determine its prognosis and treatment in our country are needed.


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